HomeMy WebLinkAbout95-5059
BUILDING PERMIT--
P .N!
CITY OF ZEPHYRHILLS 8rmlt
(813) 788-6611
-;-5059-l
- - -
Date
(, ._,;l<f- - c; :;
3S'~ oi)
BUILDING
.). 0 - c.r-D
ELECTRICAL
;l~.e.T7)
PLUMBING
MECHANICAL
Sewer Conn
Water Conn:
PmpertyOwne" 1;::2 n Wate:Mete,
Job Add....' S:5 - _~;:.. -- TH. e
Parcell.D. # / -- /; C)/- 0 c.9/~ - ~ JI rl -...f~ J,/-/.i>Y/;,fJ
Zoning: Energy Code:
Description of wor;.f? ~~ ~,~
Radon Gas:
NO OCCUPANCY BEFORE C.O.
FINAL
DATE
Complete Plans, Specifications and Fee Must Accompany Application. C.O.
All work shall be performed in accordance with City Codes and Ordinances.
Inspector
......
Permit Fee ~.~
Signature E: I I -~
Company
Address
Telephone# S-6]-o5J..b
Valuation or
Contract Price
2. ~--z:rz;. o-v
-
City License Registration #
State Certified License#
BUILDING
~~ $b~
ELECTRICAL dl-?/
ace
PLUMBING 0(7
MECHANICAL
~./L.
-
SLB Breakers
Tub Set Ducts Insl.
Water ~ ~ /Compresso,
~:,t!i\ ~ -' f ,.:'tJ Final
Ft'. ~
,,"e SLtji<
Lintel
FRM.
Insul. CL
WL
Tp. Serv.
Rough In
Meter Can
Const. Pole ./
Pool ~
::::~8~- --
Driveway
REINSPECTION FEES: When extra inspection trips are necessary due to anyone of the following reasons, a
charge of Fifteen and 00/100 Dollars ($15.00) shall be made for each trip for each trade:
a. Wrong Address
b. Condemned work resulting from faulty construction.
c. Repairs or corrections not made when inspection called.
d. Work not ready for inspection when called.
e. Permit not posted on job site.
f. Plans not at job site.
g. Work not accessible.
The payment of inspection fees shall be made before any further permits will be issued to the person owning
same.
APPLICATION FOR PERIif.[T
CITY OF ZEPIIYRllIU..s
nUJILDIRG DRPARlHEm'
, OWNER'S NAME J3r(A~J /~t s>)~ll ~ ryM Ll..Jk
OWNER'S ADDRESS II ~L5 :h)$tA~ (f LN. .0, C .
JOB ADDRESS 55Ltb i g-m st, 2-Q,'P~'rh,))5
LEGAL DFSCRIPTION: I.OT(S) 14)~~\1 B~SunDIVISION
PARCEL LD.' t1-U-lJ -oof.Q::lll-oO- oltiV
PllONESb7- 05/(,
WRK PROPOSED:_~ev Construction
~dition XUterationXRepair
I
_Install
_Sign
_I!fove
_De.-olish
PROPOSED USE: X Single Faaily
_KIF
_, of Units
_K/H
_eo..ercial
_Indust.
_Swia. Pool '
other
~estaurant &: Health Deparblen.t Approval
BUILDING SIZE: ~Z- X LL- J
Ltro
Square Feet,
,14
Height
RESIDENTIAL:
cotttIRRCIAL :
AlTACH (2) PLOT PJ..A,NS &: (2) SEIS OF BUILDING p~S &: (1) SKI' ENERGY FORMS. **
ATl'ACII (3) SETS OF BUilDING PLANS &: (1) SKI' ENERGY FORMS. **
**COPr OF COKTkACT REQUJIRIlD.
PERKIlS REQUESTED
X BUILDING
$ J:iD - YCW
Valuation of Total ConstXl,lction
F.T .F.C'fRICAL
AMP Service
Florida Power Corp.
W.R.E.C.
--1fECHAlUCAL
s
Valuation of Hechanical Installation
~UKBING
GAS
ROOFING
SPECIALTY
TYPE OF CONSTRUCTION: _Block -X--Fraae _Steel
Other
t~
FIRISHED PlPOR ELEVATIONS:
FT.
IS PROJECT DI FLOOD ZONE AREA?
YES NO
******************************************
CDl/IlI'RACTOR SECTION
BUILDER
Signature
COHPMff
State Cert. or Regist. I
City License Registration I
***************-********** **************
ELEC'fRICIMl
Silmature ~~11 OJJ~
CO'!fPANY -' 9
State Cert. or Regi~t. ,
City License Registration I
**********x*******************************
PI.UMBER ~ WoliFdIo"Y 11. <', A... {i
State ~rt. or Regist~ (i? r- t!/D s 7 Y71
:::ture%--- . City License Registration' ,71 '7
******************************************
MECHANICAL
Signa. ture
COHPANY
State Cert. or Regist. ,
City License Registration' ,
******************************************
011IER
Signature
COHPMfi
Sta~Cert. or Regist. I
11>" City-.License Registration ,
**********~******************************
APPLICATION APPROVED BY
PERKI.T OFFICER.
emlD I T IONS OF PERI''Il T (~FF I D{~'.j I T \
A. NOTICE OF DEED REST8IeTION~
The undersigned understands that this perlit ~ay be subiect to "deed restrictions" which lay be lore restrictive than City
regulations, The undersigned assules re,ponsibility for cOlpliance with any applicable deed restricti~ns.
B. UNLICENSED CONTRACT(~S AND CONTRACTOR RESPONSIBILITIES
If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with
state and local regulations. If the'rontr~ctor is not licensed as required by law, both the owner and contractor lay be
cited for a lisdeleanor violation under '3tate law. If the owner or intended contractor are uncertain as to wbat licensing
requirelents lay apply for the intended :lorK, they are advised to contact the City of Zephyrhills Building Departlent, (813)
789-6611.
Furtherlore, if the owner has hired a contractor or contractors, he is advised to have the contractor Is) sign portions of the
"Contractor Sections" of this application for which they will be responsible. If you, as the owner sign as the contractor,
you are indicating that you, rather than the contractor, are responsible for the work. If the contractor wishes you to sign
, as contractor that lay be an indication that he is not pr~perly licensed and is not entitled to perlitting privileges in, the
City of Zephyrhills.
C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES
D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED)
J certify that I, the applicant, have been provided with a copy of "Florida's Construction Lien Law - HOleowner's Protection
Guide" prepared by the Florida Departlent of Agriculture and Consuler Affairs. If the applicant is sOleone other than the
"owner", I certify that 1 have obtained a copy of the above described doculent and promise in good faith to deliver it to the
"owner" prior to cOllencelent.
E. CONTRACTOR'S/OWNER'$ AFFIDAVIT
I certify that all the inforlation in this application is accurate and that all Hork will be done in cOlpliance with all
applicable laws regulating construction, .oning, and land developlent.
Application is hereby lade to obtain a perlit to do work and installation as indicated. I certify that no work or
installation has cOllenced prior to issuance of a perlit and that all work will be perforled to leet standards of all laws
regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also
certify that I understand that the regulations of other governlental agencies lay apply to the intended work, and that it is
IY responsibility to identify what activ:i5 I lust take to be in cOlpliance. Such agencies include but are not lilited to:
f Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive Lands,
Hater/Wastewater Treataent
f Southwest Florida Water ~anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Hatercourses
f ArlY Corps of EnQineers - Seawalls, Docks, Navigable Waterways
f Departlent of Health ~ Rehabilitative Services. Environlental Health Unit - Wells, Wastewater Treatlent, Septic Tanks
f US Environlental Protection AQency - A=bestos abatelent
I also certify that, if fill laterial is to be used in Flood Zone "A" or "A,etc.", it is understood that a drainage plan
addressing a "colpensating volule" will be subaitted which is prepared by a professional engineer registered in the State of
Florida prior to perlit issuance.
A perlit issued shall be construed to be a license to proceed with the work and not as authority to violate, cancel alter, or
set aside any provisions of the technical codes, nor shall issuance of a perlit prevent the Building Official frol thereafter
requiring a correction of errors in plan:;, construction, or violations of any code. Every perlit issued shall becole invalid
unless the work authorized by such perlit is cOleenced within six months of issuance, or if work authorized by the perlit is
suspended or abandoned for a period of SIX lonths after the 'tile the work is cOlaenced. . One 90 day extension of tile, lay be
allowed for the perlit with fee charge of $15.00. The extension shall be requested in writing to the Building Official. An
approved inspection lust be logged durin) each six lonth period, or the project Hill be considered abandoned.
WARNING TO OWNER: YOUR FAILURE TO RECORil A NOTICE OF COMMENCEMENT HAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR
PROPERTY. IF YOU INTEND TO OBTAIN FINAlJ::JIJ6, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COKKENCEMENT. JOBS UNDER $2,500 IN VALU,: DO NOT NEED TO RECORD AND POST A "NOTICE OF COMMENCEMENT".
SIGNATURE: OWNER OR AGENT
SIGNATURE: CONTRACTOR
. ,
STATE OF FLORIDA
COUNTY OF
The foregoing instrument
before me this
was acknowledged
, l!J_ by
STATE OF FLORIDA
COUHH OF
The foregoing instrument
befcl\-e me th i s
was acknowledged
, 19_ by
who is personally known to me or who has
produced
as identification and whct did/did not
take an oath.
who is personally known to me or who has
produced
as identification and who did/did not
take an oath.
(Signature)
(SignatUl-e)
. <Name Typed, Pr i nted C'l- Stamped)
NOTARY PUBLIC
(Name Typed, Printed or Stamped)
NOTARY 'PUBLIC
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LEGAL DESCRIPTION, Lots 1~, 15, 16, & 17, Block 112, CITY OF
ZEPHYRHILLS, as Recorded in Plat Book 1, Page 54, Public Records
of Pasco County, Florida.
roUf!D
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"107"
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Flood Zone
As Per F.I,R.M. Panel No,
y OR-McVA~ INC.
1925 U.S. 98, SOUTH
LAKELAND, FLORIDA 33801
PLANNING CONSULTANTS
ENVIRONMENTAL DESIGN
ENGINEERING
SURVEYING
B~ 5. 3\ -45
tJ~ 5.~I-q5
B~ C; .~l-GJ c:,
PLS #5130
, Foundation
Fin;!1
1 - 2.
PATRICK J. LEARY
Florida Registration No. LB 2622
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General Home
Development Corporation
Mr. Ray Burnside
City Building Official
5335 8th Street
Zephyrhills, FL 33540
June 26, 1995
Dear Mr. Burnside,
I have inspected the home at 5546 18th St., Zephyrhills in
relation to the interior wall to be removed adjoining the old
kitchen. This wall is in no way a structural wall, and as such
will pose no problem with it's removal.
Sincerely,
~
Thomas E. Smith
GENERAL HOME DEVELOPMENT, CORP.
TES/maf
Main Office: 13924 7th Street Dade City, FL 33525
Phone: (904) 567-6581
Fax: (904) 567-6742